Individual provider Active NPI

Sitara Kishore

  • Internal Medicine Physician
  • Gallatin, TN
National Provider Identifier
1831551993
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71322 Issued in TN
Practice address
1156 Nashville Pike
Gallatin, TN 37066-3110
Phone
(615) 989-1088
NPI assigned
Mar 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301502275 MI
Internal Medicine Physician 207R00000X 35.148049 OH
Internal Medicine Physician 207R00000X 71322 TN Primary
Internal Medicine Physician 207R00000X 01082070A IN

Addresses

Primary practice location

1156 Nashville Pike
Gallatin, TN 37066-3110

Mailing address

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190522002359 IN Practitioner - Internal Medicine 2668715244 Reassigns benefits to 2 organizations
I20200923001392 MI Practitioner - Internal MedicinePractitioner - Hospitalist 2668715244 Reassigns benefits to 3 organizations
I20240625000336 TN Practitioner - Internal Medicine 2668715244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

Hospital & facility affiliations

  • Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71322TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 16, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 16, 2019 Accepting new patients
Anova Medical Associates, PLC Hospitalist CurrentSince Jun 1, 2024 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Iha Health Service Corporation CurrentSince Dec 1, 2022 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 16, 2019 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation Hospitalist CurrentSince Dec 1, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

Interoperability endpoints

  • Direct secure messaging: skishore824221@direct.vumc.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1831551993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-444-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663110",
            "telephone_number": "615-989-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHORE",
        "first_name": "SITARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502275",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.148049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "71322",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082070A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.